Provider Demographics
NPI:1356633176
Name:NWAMEME, AUSTIN UZOMA (B-PHARM)
Entity Type:Individual
Prefix:
First Name:AUSTIN
Middle Name:UZOMA
Last Name:NWAMEME
Suffix:
Gender:M
Credentials:B-PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 WESTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-6317
Mailing Address - Country:US
Mailing Address - Phone:910-353-3424
Mailing Address - Fax:
Practice Address - Street 1:377 WESTERN BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6317
Practice Address - Country:US
Practice Address - Phone:910-353-3424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20748183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist